Clinical Wound Solutions, LLC v. Northwood, Inc.

District Court, N.D. Illinois·Decided April 30, 2020·No. 1:18-cv-07916·Unknown

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION CLINICAL WOUND SOLUTIONS, LLC, ) ) ) Plaintiff, ) ) No. 18-cv-07916 V. ) ) Judge Martha M. Pacold NORTHWOOD, INC., ) ) Defendant. ) MEMORANDUM OPINION AND ORDER Plaintiff Clinical Wound Solutions, LLC (‘CWS’) filed a complaint against defendant Northwood, Inc. (“Northwood”) in the Circuit Court of DuPage County, alleging breach of contract, fraud, a claim under the I]linois Insurance Code, and a claim under the Michigan Third Party Administrator Act. (Dkt. 1.) Northwood removed the case to federal court and moves to dismiss the fraud, Illinois Insurance Code, and Michigan Third Party Administrator Act claims (Counts 2, 3, and 4, respectively) under Federal Rule of Civil Procedure 12(b)(6). (Dkt. 9.) The court grants the motion without prejudice to CWS’s filing an amended complaint by June 11, 2020. BACKGROUND The complaint alleges as follows: The plaintiff, CWS, is a limited lability company that conducts business in Bensenville, Illinois, and is in the business of supplying medical supplies. (Compl., Dkt. 1, at 8 1-2.)! The defendant, Northwood, is a Michigan corporation and is a “third-party administrator and vendor.” Ud. at 8 § 4.) Northwood entered into an agreement with Security Health Plan of Wisconsin, Inc. (“SHP”) “to supply covered services to SHP members.” (/d.) “CWS entered into a Participating Supplier Agreement [(“PSA”)] with Northwood to provide medical supplies to SHP members” (id. at 9 4 5 (attaching PSA)), in which CWS agreed to provide covered services to members that Northwood had referred or assigned to CWS (id. at 9 4 6), and Northwood agreed (1) to negotiate contracts with plan sponsors and other groups to arrange for the provision of covered services by CWS to SHP members and (2) to pay CWS for the supplies provided (id. at 9 9 7- 8). CWS provided supplies to the covered members of SHP and gave Northwood 1 Docket entries are cited as “Dkt. [docket number].” Page number citations refer to the ECF page number.

itemized statements of the supplies it had provided to the covered members. (Id. at 9 ¶ 9 (attaching summary statement).) CWS made a demand for payment, and Northwood failed to pay the balance due of $196,769.30. (Id. at 9 ¶¶ 10-12.)

CWS filed suit against Northwood to recover the balance due under the PSA. In Count 1, CWS alleges breach of contract (the PSA). (Id. at 8-10.) In Count 2, CWS alleges common law fraud. (Id. at 10-11.) CWS alleges in Count 3 that Northwood violated the Illinois Insurance Code, in particular, that Northwood’s actions constituted improper claims practices under 215 ILCS 5/154.6 and were vexatious and unreasonable under 215 ILCS 5/155. (Id. at 11-12.) Finally, CWS alleges in Count 4 that Northwood breached its duties under the Michigan Third Party Administrator Act, Mich. Comp. Laws Ann. § 550.940. (Id. at 12-13.) Northwood now moves to dismiss Counts 2, 3, and 4. (Dkt. 9.)

LEGAL STANDARD

“A motion under Rule 12(b)(6) challenges the sufficiency of the complaint to state a claim upon which relief may be granted.” Hallinan v. Fraternal Order of Police Chicago Lodge No. 7, 570 F.3d 811, 820 (7th Cir. 2009). “[W]hen ruling on a defendant’s motion to dismiss, a judge must accept as true all of the factual allegations contained in the complaint.” Erickson v. Pardus, 551 U.S. 89, 94 (2007). A “complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. v. Twombly, 550 U.S. 544, 570 (2007)). “Factual allegations must be enough to raise a right to relief above the speculative level.” Twombly, 550 U.S. at 555. Mere legal conclusions “are not entitled to the assumption of truth.” Iqbal, 556 U.S. at 679.

Ordinarily, under Federal Rule of Civil Procedure 8(a)(2), a complaint generally need only include “a short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). Claims alleging fraud must also satisfy the heightened pleading requirement of Rule 9(b), which requires that “[i]n alleging fraud or mistake, a party must state with particularity the circumstances constituting fraud or mistake.” Fed. R. Civ. P. 9(b).

DISCUSSION

I. Jurisdiction

This court has an independent obligation to ensure that it has subject matter jurisdiction. Jason’s Foods, Inc. v. Peter Eckrich & Sons, Inc., 768 F.2d 189, 190 (7th Cir. 1985) (“Federal courts have an independent obligation to confine themselves to the jurisdiction that has been given them by the Constitution and by Congress . . . .”). “[T]he party seeking to invoke federal diversity jurisdiction . . . bears the burden of demonstrating that the complete diversity and amount in controversy requirements were met at the time of removal.” Tylka v. Gerber Prod. Co., 211 F.3d 445, 448 (7th Cir. 2000). To confirm subject matter jurisdiction, the court directed the parties to file a joint jurisdictional statement and a supplemental jurisdictional statement; the parties complied. (Dkts. 42, 50, 81, 82.)

The supplemental joint jurisdictional statement provides the following information, all as of the time of removal: The defendant, Northwood, Inc., was a corporation with both its place of incorporation and principal place of business in Michigan. Plaintiff, Clinical Wound Solutions, LLC, is an Illinois LLC whose members were domiciled in Illinois at the time of removal; each member of the LLC is an individual who was domiciled in Illinois at the time of removal. (Dkt. 82.)

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Clinical Wound Solutions, LLC v. Northwood, Inc., (N.D. Ill. 2020).

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